Preop Diagnosis
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Clinical History
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Right LE Claudication
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Left LE claudication
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Right LE wounds
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Left LE wounds
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Previous Studies
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Contrast Dose in cc
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Fluoro Time in min
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Procedures Arteriograms
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IVUS
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Insertion of catheter
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Analgesia
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Additional Procedures or description
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Aortogram and Pelvic Arteriography
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Access Side R/L
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Aortogram result
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Arteriogram
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